Motorcycle Tours Booking

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Currency *

Participation *

Accommodation *

together with

First and Last Name * (Please fill out one form per person)

Address *

Address

City / Town *

ZIP / Post Code *

State

Country *

eMail *

Fon work *

Fon home *

Mobile *

Fax

Skype

Date of birth *

Body Height *

Body Weight *

Occupation *

Gender * Female Male Diverse

Smoker Vegetarian

Please let us know any health limitations - if you do not have any, please note "None" *

I have a valid drivers licence for cars *YesNo

I own a valid motorcycle drivers licence * Yes No

I have been riding motorcycles for *

I have ridden about *

My own motorcycle

1st choice motorcycle for the tour

2nd choice motorcycle for the tour

Other motorcycle choice for the tour

Reuthers BYOM: I take part with my own motorcycle: brand/built-year/km-miles

Together with this tour registration, a deposit payment of 20% of the regular tour price is due immediately.

Important: Your Credit Card will only be charged for a deposit payment if we confirm your tour/booking!

This is a secure form. All data is encrypted before transmission. We do not share your information with anyone!

I hereby authorise REUTHER-ENTERTAINMENTS to debit my Credit Card for the above tour payment in the following way: 20% Deposit of the regular tour price today and Payment of Balance 90 days prior tour start.

Credit Card (tick one) * VISA MasterCard

Name on the Credit Card (Holder) *

Credit Card Number *

Expiry Date on Credit Card *

3-4 digits proof number (you find it on the back of your Credit Card behind the Credit Card Number) *

Different billing address Credit Card

If billing address is different please fill out:

Credit Card Holder First-/Last Name *

Street/Postcode/Town/Country *

Fon incl. Country+Area Code *

eMail *

Date and Town of Birth *

I wish for travel insurance to be arranged I wish help for flight/s to be arranged I wish a fon call (landline) I wish for additional accommodation to be arranged prior and/or after the tour(date/s and city/cities in the message field) I wish for optional bookings during the tour to be arranged(please provide your wishes in the message field)